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Organization

LOWER SHORE IMMEDIATE CARE OF SELBYVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MULL PAC (OWNER)
(410) 651-0300
Entity
Organization

Contact information

Practice address
38229 DUPONT BLVD, SELBYVILLE, DE 19975-3045
(410) 651-0300
Mailing address
38229 DUPONT BLVD, SELBYVILLE, DE 19975-3045
(410) 651-0300

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
208D00000X
General Practice Physician
261QR1300X
Rural Health Clinic/Center
261QU0200X
Urgent Care Clinic/Center
Primary
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
08/11/2023
Last updated
07/01/2024
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